Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BIG SANDY HEALTH CARE INC

NPI: 1972173136 · FREEBURN, KY 41528 · Clinic/Center · NPI assigned 06/30/2021

$114K
Total Medicaid Paid
8,472
Total Claims
7,150
Beneficiaries
22
Codes Billed
2021-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHERALD, JAMES (CEO)
NPI Enumeration Date06/30/2021

Related Entities

Other providers sharing the same authorized official: HERALD, JAMES

ProviderCityStateTotal Paid
BIG SANDY HEALTH CARE INC AUXIER KY $4.57M
BIG SANDY HEALTH CARE, INC INEZ KY $2.30M
BIG SANDY HEALTH CARE INC SALYERSVILLE KY $1.99M
BIG SANDY HEALTH CARE INC GRETHEL KY $1.74M
BIG SANDY HEALTH CARE INC PIKEVILLE KY $1.73M
BIG SANDY HEALTH CARE INC SALYERSVILLE KY $1.01M
BIG SANDY HEALTH CARE INC PIKEVILLE KY $530K
BIG SANDY HEALTH CARE INC HAROLD KY $416K
THE PATHOLOGY GROUP PC MEMPHIS TN $380K
BIG SANDY HEALTH CARE INC PAINTSVILLE KY $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 431 $5K
2022 2,110 $37K
2023 3,063 $36K
2024 2,868 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,376 1,888 $66K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,076 814 $13K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 196 194 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 211 125 $7K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 239 146 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 906 874 $5K
83036 Hemoglobin; glycosylated (A1C) 325 322 $3K
36415 Collection of venous blood by venipuncture 1,105 1,037 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 116 51 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 48 27 $810.96
J1885 Injection, ketorolac tromethamine, per 15 mg 330 294 $763.71
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 12 $177.70
81003 272 262 $154.21
J1100 Injection, dexamethasone sodium phosphate, 1 mg 236 220 $138.54
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 65 53 $91.99
3044F 122 120 $0.61
3078F 58 55 $0.27
3074F 67 64 $0.27
1036F 16 15 $0.01
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 183 178 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 13 13 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 499 386 $0.00